| NPI | 1194468884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121082) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13556554-3501) |
| 1041C0700X Social Worker, Clinical (Licence: TX 66438) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 24017) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-04-07 |