| NPI | 1619451333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 83036) |
| 1041C0700X Social Worker, Clinical (Licence: CA 83036) | |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-10-22 |