| NPI | 1649782178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96649) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2021-09-21 |