| NPI | 1992336036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108977) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 254378) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2022-08-05 |