| NPI | 1902070857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 82598) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW003960) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-05-16 |