| NPI | 1720418684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW73309) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2022-11-01 |