| NPI | 1194005413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69756) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L16552) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2025-09-12 |