| NPI | 1548682081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW42899) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW79750) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2025-04-25 |