| NPI | 1073210209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107815) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 107815) |
| 1041C0700X Social Worker, Clinical (Licence: 107815) | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-11-25 |