| NPI | 1003253105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA LCSW65066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 35261) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2015-04-07 |