| NPI | 1730622242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 72941) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 54830) |
| 1041C0700X Social Worker, Clinical (Licence: CA 72941) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2023-04-18 |