| NPI | 1790194520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104040) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4395) |
| 1041C0700X Social Worker, Clinical (Licence: CT LCSW-009501) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-11-02 |