| NPI | 1306194543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 5925) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2022-08-11 |