| NPI | 1811328172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 67168) |
| 1041C0700X Social Worker, Clinical (Licence: LA 12366) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-10-06 |