| NPI | 1659892636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 96500) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 77787) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2023-09-14 |