| NPI | 1487715009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 23566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 23566) |
| 1041C0700X Social Worker, Clinical (Licence: CA 23566) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2023-04-28 |