| NPI | 1295282283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103545) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84843) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2021-09-09 |