| NPI | 1780870998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW #27104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 22155) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2021-12-06 |