| NPI | 1881929131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW #76065) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW31090) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2024-06-18 |