| NPI | 1821555004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 87719) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2022-09-19 |