| NPI | 1750711719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1980) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2021-02-20 |