| NPI | 1548496755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8504-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109454) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2025-07-11 |