| NPI | 1558074609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 112955) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: CA 112955) | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-05-11 |