| NPI | 1992081186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 16803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS27491) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2025-08-24 |