| NPI | 1710399670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 87111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21829) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2026-03-04 |