| NPI | 1356763346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 91112) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 67806) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-02-16 |