| NPI | 1912667122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 140640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 115510) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2026-08-04 |