| NPI | 1609942002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW26777) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW20147) |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW20147) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-10-15 |