| NPI | 1164263869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 112553) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-09-09 |