| NPI | 1245560564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 74020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8082) |
| 1041C0700X Social Worker, Clinical (Licence: TN 5238) | |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2023-03-15 |