| NPI | 1376219683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 406755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 17417) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2026-08-11 |