| NPI | 1346806163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61492224) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-08-08 |