| NPI | 1669261301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121561) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14008947-3501) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149018141) | |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22604) | |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |