| NPI | 1063896090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW24999) |
| 1041C0700X Social Worker, Clinical (Licence: CA 24999) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW24999) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-02-05 |