| NPI | 1871958082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89325) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69450) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2021-10-07 |