| NPI | 1154837011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 96522) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 96522) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2023-05-16 |