| NPI | 1720730906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14089) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 125900) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2025-07-22 |