| NPI | 1952689994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 61798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 10420) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-11-10 |