| NPI | 1265109334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103490) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-10-10 |