| NPI | 1669137279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12497-C) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2025-10-19 |