| NPI | 1730551672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85525) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67651) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-08-30 |