| NPI | 1932592284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95604) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2020-10-07 |