| NPI | 1255186979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW112011) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW11201) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW11201) | |
| 1041C0700X Social Worker Clinical (Licence: CA ASW11201) | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-09-05 |