| NPI | 1891047171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 76657) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical (Licence: CA 37005) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-03-07 |