| NPI | 1548948201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 133627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 92425) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2025-09-16 |