| NPI | 1063879260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW130967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW019170) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2025-07-16 |