| NPI | 1700429081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105376) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 143269) |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2024-01-16 |