| NPI | 1528837622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120984) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 23764) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-07-26 |