| NPI | 1265636302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS14249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 27059) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2026-03-19 |