| NPI | 1194582320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 090410674) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-05 |