| NPI | 1184175754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW78048) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-04-01 |