| NPI | 1942442587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: CA ASW31961) | |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2017-12-19 |