| NPI | 1972343671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 98628) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2025-10-24 |