| NPI | 1053752865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 19863) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2024-10-09 |