| NPI | 1386258614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 115436) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-11-09 |