| NPI | 1851672695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93948) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 119594) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2026-02-23 |