| NPI | 1689942252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109045) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119787) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2023-04-10 |