| NPI | 1316461130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW121477) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW85943) |
| 104100000X Social Worker (Licence: CA ASW85943) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-03-22 |