| NPI | 1699248385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102166) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86114) |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2021-11-29 |