| NPI | 1134272073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW62396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 211995) |
| 1041C0700X Social Worker, Clinical (Licence: MA 113318) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2026-06-29 |