| NPI | 1942787197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 80080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 19110) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2025-06-03 |