| NPI | 1902245475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW96559) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 96559) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2020-09-08 |