| NPI | 1215411137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110789) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09929247) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-04-04 |