| NPI | 1215480603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72713) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-10-22 |