| NPI | 1629593777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84845) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-10-03 |