| NPI | 1366164709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116540) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 29010) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2026-01-26 |