| NPI | 1154059020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98582) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 985809) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-19 |