| NPI | 1528185493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 38918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 20309) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW64011) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-05-20 |