| NPI | 1134649106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94670) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 13042-C) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2026-03-30 |