| NPI | 1093277170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127733) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 99048) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA 99048) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2024-12-12 |