| NPI | 1689823296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW17730) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2025-06-27 |