| NPI | 1184091076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: CA ASW75119) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2022-03-08 |