| NPI | 1629912894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 5971589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 138168) |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-07-03 |