| NPI | 1164135943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 110920) |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |