| NPI | 1487804654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24703) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-12-06 |