| NPI | 1720654718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW142027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW142027) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2026-09-04 |