| NPI | 1871318204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 135946) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 93459) |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2026-02-18 |