| NPI | 1891864542 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI lcsw3789)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 16866)  | 
| Enumeration Date | 2006-11-07 | 
| Last Update Date | 2019-07-30 |