| NPI | 1548596513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW22522) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 4314-C) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2023-06-12 |