| NPI | 1750817482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94127) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 73991) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2022-08-16 |