| NPI | 1669410536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26239) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113638) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14039357-3501) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2026-03-12 |