| NPI | 1124532007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102284) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: MA 123607) | |
| 104100000X Social Worker (Licence: CA 81247) | |
| 104100000X Social Worker (Licence: CA 102284) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-08-11 |