| NPI | 1265941686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 6061179) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2026-08-19 |