| NPI | 1124636097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105234) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011944) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-05-01 |