| NPI | 1487010567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60896517) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW 69665) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2023031439) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2026-01-29 |