| NPI | 1609315316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 73828) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-04-02 |