| NPI | 1518484948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 106628) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2024-05-31 |