| NPI | 1396215042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90183) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2026-04-10 |