| NPI | 1679992309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-44770) |
| 1041C0700X Social Worker, Clinical (Licence: NY 068246-1) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-12-20 |