| NPI | 1871061291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81709) |
| Enumeration Date | 2018-11-03 |
| Last Update Date | 2021-12-14 |