| NPI | 1265863666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74491) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 60143) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2023-07-18 |