| NPI | 1124530811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98960) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 80138) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2022-10-10 |