| NPI | 1700387057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100705) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW86023) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2021-03-31 |