| NPI | 1073118477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97180) |
| 1041C0700X Social Worker, Clinical (Licence: CA 97180) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2023-07-05 |