| NPI | 1528634268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129310) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 105768) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-04-10 |