| NPI | 1992353684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 113624) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW19354) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-05-13 |