| NPI | 1124691019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW130861) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 112951) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-08-05 |