| NPI | 1518520113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 16023) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-12-21 |