| NPI | 1609568278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 014868) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2025-05-19 |