| NPI | 1699258780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92263) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-08-20 |