| NPI | 1104414259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101205) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 79827) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-03-23 |