| NPI | 1720488471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 80493) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW61678) |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2021-01-08 |