| NPI | 1578120051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW117372) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW006875) |
| 1041C0700X Social Worker, Clinical (Licence: NC C011774) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-02-03 |