| NPI | 1972910750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 79901) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 79901) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2018-05-31 |