| NPI | 1386097350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW-79428) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-16199) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-04-03 |