| NPI | 1679262091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ACSW105962) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW105962) |
| 104100000X Social Worker (Licence: CA ACSW105962) | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-08-17 |