| NPI | 1376796151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5357-C) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2023-06-13 |