| NPI | 1275070542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW98172) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2020-11-25 |