| NPI | 1457826919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 85186) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-09-18 |