| NPI | 1700353349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84247) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-03-01 |