| NPI | 1750974549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104167) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 19220) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-10-29 |