| NPI | 1891237897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74162) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-11-29 |