| NPI | 1215359005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130326) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW104854) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2025-07-03 |