| NPI | 1801165162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 17455) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NM 208000000X) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-01-11 |