| NPI | 1902297369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW97910) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW71999) |
| 1041C0700X Social Worker, Clinical (Licence: CA 97910) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2020-10-22 |