| NPI | 1972656031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78834) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5140370-3501) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-05-04 |