| NPI | 1922412071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016263) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW26541) | |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2026-05-28 |