| NPI | 1760737696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA asw79105) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2021-05-05 |