| NPI | 1649600313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW122756) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 090307) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW122756) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2026-01-09 |