| NPI | 1285126169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75762) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 75762) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-07-05 |