| NPI | 1003217829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW77198) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW62352) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-08-25 |