| NPI | 1780312777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 129646) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 86561) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-07-10 |