| NPI | 1275302150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW127131) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW104712) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-11-20 |