| NPI | 1508416942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107152) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91812) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-03-09 |