| NPI | 1508312406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 116350) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2025-12-19 |