| NPI | 1164035788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW125834) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW97483) |
| 104100000X Social Worker (Licence: CA LCSW125834) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-09-17 |