| NPI | 1164926929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90912) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-06-07 |