| NPI | 1962836528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925928) |
| 1041C0700X Social Worker, Clinical (Licence: NC C010098) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2021-05-12 |