| NPI | 1487011839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW108440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12177) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2022-10-10 |