| NPI | 1891196358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW82401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW66959) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-12-13 |