| NPI | 1609433960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114170) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2026-06-08 |