| NPI | 1790227874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99103) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 83546) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2021-03-12 |