| NPI | 1265907984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 64234) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 9390) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |