| NPI | 1225345747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92980) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-07139) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-12-03 |