| NPI | 1902526536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW134951) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW110570) |
| 104100000X Social Worker (Licence: CA 110570) | |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2025-11-05 |