| NPI | 1669901179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 73669) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-04-17 |