| NPI | 1801315122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112151) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 92404) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-02-17 |