| NPI | 1871233833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 130546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 105573) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-07-01 |