| NPI | 1134595937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 108299) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW78362) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2023-05-26 |