| NPI | 1700075280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 28331) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW 3776) |
| 1041C0700X Social Worker, Clinical (Licence: NY LMSW 077716) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2015-02-05 |