| NPI | 1730885096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 112292) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-09-26 |