| NPI | 1033839279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20942) |
| 1041C0700X Social Worker, Clinical (Licence: LA 15226) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2026-08-12 |