| NPI | 1093865834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 96217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW 11122) |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-20257) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-07-27 |