| NPI | 1174093108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103311) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2025-03-03 |