| NPI | 1619440864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW115339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 83547) |
| 104100000X Social Worker (Licence: CA ASW83547) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2023-10-27 |