| NPI | 1972907681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 88751) |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-05-07 |