| NPI | 1104561455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW115188) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2023-06-08 |