| NPI | 1821466723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104259) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 10410000XASW) |
| 104100000X Social Worker (Licence: CA 82190) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2024-08-31 |