| NPI | 1003486085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 20599) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2022-09-08 |