| NPI | 1922383413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020036860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 76632) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2025-09-22 |