| NPI | 1619495694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114078) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 90549) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-08-15 |