| NPI | 1316602352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108491) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 190243703) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2026-04-06 |