| NPI | 1174045157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103488) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW-2387) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2021-08-26 |