| NPI | 1942677299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW98338) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2021-08-11 |