| NPI | 1366800278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 82842) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW66977) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2023-04-12 |