| NPI | 1740467588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW84860) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA ASW75014) | |
| 104100000X Social Worker (Licence: CA ASW 29691) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2018-08-29 |