| NPI | 1679963276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76316) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 63987) |
| 207L00000X Anesthesiology (Licence: CA 76316) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-09-11 |