| NPI | 1760728992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6609) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66520) |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2023-11-02 |