| NPI | 1407365992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 198799) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-05-30 |