| NPI | 1194269720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119641) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 9082146-3503) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2023-12-12 |