| NPI | 1326392945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 131236) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW129320) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2025-10-10 |