| NPI | 1851762496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89043) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 32261) |
| 1041C0700X Social Worker, Clinical (Licence: CA 80870) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2022-01-06 |