| NPI | 1245396241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001586) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2025-01-21 |