| NPI | 1346378247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101265) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW101265) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW69413) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2021-06-01 |