| NPI | 1962467340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005796) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW115576) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-11-08 |