| NPI | 1174920508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 124047) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-09-16 |