| NPI | 1013559418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013208) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2025-03-29 |