| NPI | 1821407420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 31713) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA 31713) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2016-02-12 |