| NPI | 1699158972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18590) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW66919) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW86368) | |
| 1041S0200X Social Worker, School (Licence: CA 170216786) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2020-05-15 |