| NPI | 1255887790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95320) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 78423) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-08-10 |