| NPI | 1134644560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91757) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 73068) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-07-21 |