| NPI | 1124152228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW61556) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-03-25 |