| NPI | 1295289924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 113959) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 314554) |
| 104100000X Social Worker (Licence: CA 80390) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-03-22 |