| NPI | 1699019778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 33832) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2021-12-06 |