| NPI | 1700582772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4963) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-12-08 |