| NPI | 1346894953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 113713) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 90625) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-04-19 |