| NPI | 1255809158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26639) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-04-08 |