| NPI | 1740063437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16747) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA ASW113722) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-04-10 |