| NPI | 1043918212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 85333) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 113825) |
| 104100000X Social Worker (Licence: NJ 44SC06591100) | |
| 104100000X Social Worker (Licence: CA 85333) | |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2026-03-04 |