| NPI | 1295393973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 37866) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-09-19 |