| NPI | 1780100701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97653) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-10-29 |