| NPI | 1114483138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102456) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009654) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2022-09-07 |