| NPI | 1952754905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 72357) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2020-06-26 |