| NPI | 1750695714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77519) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3636) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904010155) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2025-07-23 |