| NPI | 1558165167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12941391-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 115715) |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-29 |