| NPI | 1245507904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW15277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 15277) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2019-08-19 |