| NPI | 1003436668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 6021) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 138016) |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2026-08-21 |