| NPI | 1689300295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200004212) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-10-07 |