| NPI | 1780493858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW124149) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI LSW3061) |
| 1041C0700X Social Worker Clinical (Licence: HI LCSW5271) | |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |