| NPI | 1568858827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105449) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 79956) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-12-20 |