| NPI | 1134681539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 17608) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 17890) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |