| NPI | 1174154918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126170) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW85878) |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2024-09-25 |