| NPI | 1942678867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW68007) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 11069) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |