| NPI | 1700321601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3921C) |
| Enumeration Date | 2016-12-31 |
| Last Update Date | 2023-12-06 |