| NPI | 1518556604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122488) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |