| NPI | 1972830222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3591) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2016-06-03 |