| NPI | 1093388076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114721) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 224926) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-05-03 |