| NPI | 1972926400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 107910) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 89486) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2022-05-16 |