| NPI | 1154747616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85811) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA asw77868) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2023-01-11 |