| NPI | 1184213472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW127803) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2026-05-19 |