| NPI | 1669600458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 75738) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 25064) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2021-02-28 |