| NPI | 1285376129 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 107849) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 107849) | 
| Enumeration Date | 2022-04-11 | 
| Last Update Date | 2023-08-17 |