| NPI | 1134615305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L14940) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2026-02-13 |