| NPI | 1578675542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113700) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-05-13 |