| NPI | 1205506466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110974) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW88378) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2022-10-22 |