| NPI | 1629587480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120893) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-12-19 |