| NPI | 1760658421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87503) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 23558) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2024-03-12 |