| NPI | 1205071545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 28734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24346) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2025-06-09 |