| NPI | 1821534025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 64440) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2023-05-15 |