| NPI | 1639626328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW77860) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2023-09-06 |