| NPI | 1033699319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW90474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ACSW90474) |
| 101YM0800X Counselor, Mental Health (Licence: CA 90474) | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2023-08-17 |