| NPI | 1679908263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW84939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW62484) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-08-19 |