| NPI | 1669773883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW4432) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW11459) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-08-02 |