| NPI | 1134603814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013435) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-04-08 |