| NPI | 1598190654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 010912) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2025-06-11 |