| NPI | 1831530682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74657) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34942) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2023-08-14 |