| NPI | 1265001614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115049) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 93284) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2023-06-20 |