| NPI | 1053135277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118530) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW118530) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2025-02-18 |