| NPI | 1669621165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 60514) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28064) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2026-03-16 |