| NPI | 1982912408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW 30707) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2023-02-24 |