| NPI | 1801141270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 90203) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149016185) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-04-19 |