| NPI | 1912658220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW21227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 21227) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-02-15 |