| NPI | 1194389817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112556) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122166) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2023-06-27 |