| NPI | 1205329893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121639) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW90340) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-03-29 |