| NPI | 1518452887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99964) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW83484) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-03-22 |