| NPI | 1174097885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 125091) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker (Licence: CA 105811) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-08-19 |