| NPI | 1508933961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW18650) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 18650) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2021-03-15 |