| NPI | 1770720104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW73390) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ASW 25203) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-02-03 |