| NPI | 1740901438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139714) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2026-07-16 |