| NPI | 1235672551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW98662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW #68147) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2020-12-23 |