| NPI | 1679956783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95141) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67810) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW67810) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-06-23 |