| NPI | 1700306628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97656) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11324-C) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-06-21 |