| NPI | 1073972212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4106) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2022-02-08 |