| NPI | 1376006528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW109997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW78973) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2022-08-25 |