| NPI | 1730503426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW60207) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2022-03-04 |