| NPI | 1154948909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 117593) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2024-04-08 |