| NPI | 1568115467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW92007) |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2024-04-13 |