| NPI | 1821405515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW95968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW68823) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-08-18 |