| NPI | 1821577107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW70613) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-05-26 |