| NPI | 1720414600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60550038) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-03-20 |