| NPI | 1558081570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW102285) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW102285) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-09-06 |