| NPI | 1447420609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10041) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2016-03-31 |