| NPI | 1497133912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101639) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CO 9922107) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 09925650) | |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2021-09-18 |