| NPI | 1699130054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW80912) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW80912) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-06-27 |