| NPI | 1851007843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW103766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 008081) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-02-09 |