| NPI | 1851024947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92169) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-10-11 |