| NPI | 1699239004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4188) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |