| NPI | 1962047712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW141206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW109353) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2026-08-05 |