| NPI | 1154097020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102083) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-09-15 |