| NPI | 1659753309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.014749) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-04-24 |