| NPI | 1629484605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126644) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 103573) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-11-13 |