| NPI | 1255837266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 80845) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2020-07-21 |