| NPI | 1679199632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 95135) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2023-11-21 |