| NPI | 1083093470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71662) |
| 104100000X Social Worker (Licence: CA ASW71662) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-01-18 |