| NPI | 1073149399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015272) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW90941) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2024-07-15 |