| NPI | 1790194165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83745) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW68256) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2020-07-14 |