| NPI | 1649559295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 69536) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 63307) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2025-08-04 |