| NPI | 1679713739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW22971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22971) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2020-02-24 |