| NPI | 1346640026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 19681) |
| 1041C0700X Social Worker, Clinical (Licence: MA 1140818) | |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2025-12-09 |