| NPI | 1417500463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95891) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-01-22 |