| NPI | 1205211877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82272) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW66825) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2018-04-20 |