| NPI | 1376964478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 253889) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN268792) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2024-08-27 |