| NPI | 1205584281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW128158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.028443) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2025-01-31 |