| NPI | 1083007702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904020154) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 121581) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2026-05-12 |