| NPI | 1902259179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98770) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW65373) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-04-07 |