| NPI | 1245764638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 41807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100571) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2023-01-25 |