| NPI | 1083287569 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123315)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102626)  | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-07-21 | 
| Last Update Date | 2024-06-25 |