| NPI | 1598074668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118188) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2021-09-08 |