| NPI | 1649541897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69806) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW31510) |
| 104100000X Social Worker (Licence: CA ASW31510) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2022-10-25 |