| NPI | 1972002913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 81808) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-01-30 |