| NPI | 1033800560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 22588) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2026-07-01 |