| NPI | 1043513278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW65173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081240-1) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2016-03-09 |