| NPI | 1114247137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 27383) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 11906-C) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14215607-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: ME LC24305) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2026-02-20 |