| NPI | 1538882196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 129247) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 105238) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2025-04-18 |