| NPI | 1497010102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 83453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092489) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2025-08-07 |