| NPI | 1750633814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW-72523) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-15114) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-02-11 |