| NPI | 1285165100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW65590) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-03-02 |