| NPI | 1104009190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW122908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 321335-3501) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW21250) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2025-07-10 |