| NPI | 1215547690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 93496) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93496) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-05-28 |