| NPI | 1528540465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS16000) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2024-03-19 |