| NPI | 1124218409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 26161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 22065) |
| 1041C0700X Social Worker, Clinical (Licence: UT CSW 6608769-3502) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-08-02 |