| NPI | 1902064470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 21601) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L12808) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-08-16 |