| NPI | 1922027986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 7178) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW7178) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-02-02 |