| NPI | 1114352267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 80505) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW80505) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-04-29 |