| NPI | 1023132396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 105266) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904006983) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-06-15 |