| NPI | 1902275381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW92767) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61047114) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2022-02-18 |