| NPI | 1528542834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 85435) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2022-05-10 |