| NPI | 1043599020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 79771) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-05-26 |