| NPI | 1396112553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW73700) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2023-03-21 |