| NPI | 1538545439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221002) |
| 1041C0700X Social Worker, Clinical (Licence: MA 000120812) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-08-18 |