| NPI | 1255973160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106933) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 122677) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-08-14 |