| NPI | 1639606114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L17126) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2026-02-18 |