| NPI | 1104466127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 15554) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-01-26 |