| NPI | 1265957450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97082) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: CA ASW78270) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW78270) | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2021-01-12 |