| NPI | 1699191056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW025108) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2025-08-14 |