| NPI | 1679633101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29875) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113392) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2026-06-29 |