| NPI | 1326586140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74484) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2019-12-11 |