| NPI | 1790209609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3898) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |