| NPI | 1699096032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 63998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36350) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-07-21 |