| NPI | 1982258885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112245) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 81584) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2023-02-15 |