| NPI | 1821401704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 3007g) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 119102) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2026-06-02 |