| NPI | 1407084965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 71392) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 26269) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-12-11 |