| NPI | 1659952414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110569) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 91770) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-10-21 |