| NPI | 1700207206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW 75353) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2021-03-11 |