| NPI | 1083332993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW-130603) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LMSW-20631) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-07-11 |