| NPI | 1659757391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 71472) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-04-17 |