| NPI | 1841742517 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27686)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8954-C)  | 
| Enumeration Date | 2016-10-28 | 
| Last Update Date | 2021-07-19 |