| NPI | 1427489285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 37191) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2021-12-06 |