| NPI | 1932665635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 17323) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2023-03-10 |