| NPI | 1639687007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 114979) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 101025) |
| 1041C0700X Social Worker, Clinical (Licence: CA 114979) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-11-08 |