| NPI | 1235358797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW28824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 18636) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-06-12 |