| NPI | 1346996568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 129781) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 63615) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-09-30 |