| NPI | 1164692059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS24141) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW 15152) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-07-21 |