| NPI | 1609308550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 70830) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-10-08 |