| NPI | 1104962885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 26931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 66378) |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-08-26 |