| NPI | 1932564564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 001450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120860) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2025-08-08 |