| NPI | 1316664881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23780) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2026-05-05 |