| NPI | 1811775638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 14195656-3501) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2026-03-13 |