| NPI | 1831869510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5163) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-08-16 |