| NPI | 1780752147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW92519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 92519) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW92519) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2021-07-13 |