| NPI | 1356235170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 134542) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-10-14 |