| NPI | 1831678853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 89852) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-06-28 |