| NPI | 1518121060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72077) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-03-10 |