| NPI | 1831638766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88329) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72576) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2019-07-15 |