| NPI | 1033428420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW70669) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-11171) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2021-05-24 |