| NPI | 1023461910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109183) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60610678) |
| 1041C0700X Social Worker, Clinical (Licence: MN 21680) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 254794) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-10-10 |