| NPI | 1023253465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW LCS20206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS20206) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2010-01-07 |