| NPI | 1154516458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 5481) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2026-04-16 |