| NPI | 1285786582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016706) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015690) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2026-02-19 |