| NPI | 1235750498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4466) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-07-21 |