| NPI | 1225450935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2013045152) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2021-05-10 |