| NPI | 1275089203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW79100) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-02-12 |