| NPI | 1841649464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 67460) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-07-01 |