| NPI | 1922628643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110013) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW90626) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2023-05-24 |