| NPI | 1639566136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 66164) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 2706) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |