| NPI | 1720584808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW110501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15237) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2022-12-12 |