| NPI | 1134703382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121046) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103561) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-08-20 |