| NPI | 1356036560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW128204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW87885) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2025-03-12 |