| NPI | 1083049159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW027107) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61336180) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2026-04-13 |