| NPI | 1174110282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 118188) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97577) |
| 1041C0700X Social Worker, Clinical (Licence: CA 97577) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2023-10-25 |