| NPI | 1831619139 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85185)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW61188)  | 
| Enumeration Date | 2017-06-27 | 
| Last Update Date | 2018-08-24 |