| NPI | 1083052047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW79708) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 62667) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2021-03-09 |