| NPI | 1780063602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 89094) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12262-C) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2026-03-03 |