| NPI | 1205296829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 101334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71058) |
| 1041C0700X Social Worker, Clinical (Licence: CA 101334) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2023-05-10 |