| NPI | 1508374653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99287) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2022-01-03 |