| NPI | 1710701925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA 240225121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 119209) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |