| NPI | 1821588211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW81812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1030720) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-10-25 |