| NPI | 1568721207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA SW82080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11539) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2019-07-01 |