| NPI | 1740841253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92674) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW73247) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2022-09-27 |