| NPI | 1518527548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101689) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW79498) |
| 1041C0700X Social Worker, Clinical (Licence: CA 101689) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2021-07-15 |