| NPI | 1053828004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW66251) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |