| NPI | 1477118909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 111564) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: CA 111564) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-06-22 |