| NPI | 1801290697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 821861) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW63296) |
| 104100000X Social Worker (Licence: NY 071097) | |
| 104100000X Social Worker (Licence: CA 821861) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2022-10-02 |