| NPI | 1649573288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 72511) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-762) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2025-09-09 |