| NPI | 1528295243 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21271)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 21271)  | 
| Enumeration Date | 2009-06-20 | 
| Last Update Date | 2019-07-12 |