| NPI | 1720538705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW65578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99917) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2026-06-22 |