| NPI | 1043631922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 94879) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 19073) |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2023-05-11 |