| NPI | 1124183637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW29118) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 212) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-11-30 |