| NPI | 1417464009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88151) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC .12277) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-10-27 |