| NPI | 1659575397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 24029) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW 6144) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2025-07-17 |