| NPI | 1134376908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11926) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA LCSW71193) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2019-02-22 |