| NPI | 1083251185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22761) |
| 1041C0700X Social Worker, Clinical (Licence: FL 22761) | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2024-09-25 |