| NPI | 1063778199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11429-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 63739) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-09-30 |