| NPI | 1245713155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW107616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW121888) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-04-21 |