| NPI | 1043672488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95129) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW69337) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2022-01-03 |