| NPI | 1417549510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 122265) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 97111) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2024-05-01 |