| NPI | 1609239250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86747) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2024-08-24 |