| NPI | 1538428180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 82968) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 60032) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-03-20 |