| NPI | 1154549111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 19990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW27121) |
| 1041C0700X Social Worker, Clinical (Licence: MD LMSW24411) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-03-13 |