| NPI | 1215308408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW81338) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW33616) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-01-23 |