| NPI | 1194116939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93425) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-04-11 |