| NPI | 1760842405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-55893) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7976) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2025-07-30 |