| NPI | 1134495633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70996) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-05-17 |