| NPI | 1336589696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 96471) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 74125) |
| 1041C0700X Social Worker, Clinical (Licence: CA 96471) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-05-26 |