| NPI | 1104283019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93404) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L15968) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2026-03-19 |