| NPI | 1821380668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW-73954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006938) |
| 1041C0700X Social Worker, Clinical (Licence: CT LCSW-6938) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2017-04-25 |