| NPI | 1790239549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW101328) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW67093) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2021-05-04 |