| NPI | 1699028217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW78357) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117872) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2024-07-23 |