| NPI | 1780093542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW90887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 8259-C) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-08-20 |