| NPI | 1730798273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 85539) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-11-17 |