| NPI | 1912421637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99237) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW77875) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |