| NPI | 1811523509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 92812) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2025-05-20 |