| NPI | 1477759017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW123604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114737) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2024-08-13 |