| NPI | 1497258834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2024028392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 116385) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-05-28 |