| NPI | 1952656092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS24106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18162) |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2024-10-27 |