| NPI | 1669067716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 129308) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2025-04-16 |