| NPI | 1700306511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11649-C) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-11-18 |