| NPI | 1942510011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076370-1) |
| 1041C0700X Social Worker, Clinical (Licence: CA 83411) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2021-11-22 |