| NPI | 1982165122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW119448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007800) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-09-24 |