| NPI | 1730743162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 122836) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 104100000X Social Worker (Licence: CA 95118) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2024-06-11 |