| NPI | 1013611185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126728) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 103308) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2024-10-16 |