| NPI | 1376151654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 92061) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 11617) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2025-06-16 |