| NPI | 1578793337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82993) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019620) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2026-03-18 |