| NPI | 1710655832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A15670) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120970) |
| 1041C0700X Social Worker, Clinical (Licence: CA acsw120970) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2025-05-27 |