| NPI | 1366968745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 84665) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2026-04-08 |