| NPI | 1265081194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102141) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 98107) |
| 104100000X Social Worker | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-04-18 |