| NPI | 1326565219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 92697) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-03-07 |