| NPI | 1013458512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86749) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-02-07 |