| NPI | 1619096740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA asw127537) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041S0200X Social Worker, School | |
| 101YM0800X Counselor, Mental Health (Licence: CA 34462) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-12-04 |