| NPI | 1962765685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW74249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36950) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-01-20 |