| NPI | 1053957126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 121879) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 91183) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2024-05-10 |