| NPI | 1699147298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 62579) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2025-01-08 |