| NPI | 1578878617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83420) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW34056) |
| 1041C0700X Social Worker, Clinical (Licence: CA 83420) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2021-02-02 |