| NPI | 1417609454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106377) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019227) |
| 1041C0700X Social Worker, Clinical (Licence: DC 20002374) | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2026-03-26 |