| NPI | 1629675608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61631325) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2026-05-15 |