| NPI | 1699248054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA CALCSW27279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID IDLCSW30994) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |