| NPI | 1730830423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134912) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101509) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2025-12-05 |