| NPI | 1083267165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 101995) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO .09924293) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2023-05-31 |