| NPI | 1104334416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW74650) |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2021-08-10 |