| NPI | 1710117189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3358) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2024-04-11 |