| NPI | 1720475312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 65911) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI 3695) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2017-04-06 |