| NPI | 1376608349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 11848) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 9734) |
| 1041C0700X Social Worker, Clinical (Licence: CA 20908) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2026-07-17 |