| NPI | 1821371329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 76703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 60453) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-05-12 |