| NPI | 1346555158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 12720196-3501) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 86000) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2023-08-01 |