| NPI | 1346894706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117120) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95277) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2024-12-20 |