| NPI | 1649642984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 89145) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 62460) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2021-12-15 |