| NPI | 1700154473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66790) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-10-09 |