| NPI | 1881307874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125897) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5124) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2024-09-12 |