| NPI | 1801256995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82568) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67917) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2018-05-10 |