| NPI | 1700927423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20562) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-04-29 |