| NPI | 1144605395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 102733) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-03-07 |