| NPI | 1518675164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 22967) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 105331) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2025-06-16 |