| NPI | 1578922779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107516) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69473) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2022-05-27 |