| NPI | 1093403875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW137952) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW113859) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2026-04-17 |