| NPI | 1104248194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38409) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33100) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW99966) | |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2024-04-18 |