| NPI | 1699207001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 19773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129481) |
| 1041C0700X Social Worker, Clinical (Licence: CA 89870) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-05-08 |