| NPI | 1962918359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93317) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 75078) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2025-03-11 |