| NPI | 1245616804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72200) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CA 72200) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2023-03-31 |