| NPI | 1154805992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114739) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016530) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-03-06 |