| NPI | 1194935411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 22856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS 22856) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-03-27 |