| NPI | 1568913275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70593) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3610) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |