| NPI | 1144653478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60442988) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2018-03-21 |