| NPI | 1831658897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 9471584) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 122594) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2026-08-11 |