| NPI | 1760052948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121920) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 83649) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2024-12-05 |