| NPI | 1568179216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121116) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95853) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-02-29 |