| NPI | 1144379595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW64565) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111937) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-06-09 |