| NPI | 1093264038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 58275) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2021-08-05 |