| NPI | 1265977854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101797) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA ASW70893) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L14081) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-02-28 |