| NPI | 1477702405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW93322) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 54496) |
| 104100000X Social Worker (Licence: TX 54496) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2022-10-17 |