| NPI | 1821865122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 129300) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 105432) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2025-04-14 |