| NPI | 1093320657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115641) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW97347) |
| 104100000X Social Worker (Licence: CA 97341) | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-06-12 |