| NPI | 1750775219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW83631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW63883) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-07-06 |