| NPI | 1366937476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94856) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74278) |
| Enumeration Date | 2018-06-30 |
| Last Update Date | 2021-01-12 |