| NPI | 1134515257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW121400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW121400) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW65896) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2025-02-07 |