| NPI | 1649649419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82696) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67616) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2021-11-22 |