| NPI | 1215472006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118208) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 91890) |
| 1041C0700X Social Worker, Clinical (Licence: MS C11761) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 5798C) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2026-01-06 |