| NPI | 1043790264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96701) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2024-12-11 |