| NPI | 1588202592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW92255) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-03-20 |