| NPI | 1982843579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8134) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2024-06-28 |