| NPI | 1194272872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116987) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA 107444) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-08-11 |