| NPI | 1396223624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110676) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW89630) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-10-05 |