| NPI | 1609275486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 71062) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-05-19 |