| NPI | 1710430525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98685) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 71645) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2021-01-12 |