| NPI | 1023461027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72640) |
| 1041C0700X Social Worker, Clinical (Licence: CA 72640) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2019-10-25 |