| NPI | 1154837011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 96522) |
| 104100000X Social Worker (Licence: CA 96522) | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2024-10-02 |