| NPI | 1104343946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW77700) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-08-26 |