| NPI | 1336525070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134079) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90373) |
| 104100000X Social Worker (Licence: CA 131615) | |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2025-09-25 |