| NPI | 1902520158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: CA LCSW94714) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW94714) |
| 251B00000X Case Management (Licence: CO LCSW94714) | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |