| NPI | 1487077228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 69899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008501) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2026-06-26 |