| NPI | 1487007480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103801) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C017126) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW72661) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 108887) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2026-03-05 |