| NPI | 1528376084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 135635) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2025-12-10 |