| NPI | 1629263983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW60102) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 14298) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2014-11-21 |