| NPI | 1053854562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 90437) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013569) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-08-02 |