| NPI | 1578619839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW76827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76827) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW71961) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-01-25 |