| NPI | 1457722050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L17495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129094) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2026-08-28 |