| NPI | 1952658916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 113983) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-03-13 |