| NPI | 1063792463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS12613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3449) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2013-09-09 |