| NPI | 1568886737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018283) |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2025-03-05 |