| NPI | 1962781906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW85392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05400) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-07-26 |