| NPI | 1679764559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 35204) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-01-17 |