| NPI | 1740996172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102371) |
| 104100000X Social Worker (Licence: CA 102371) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-10-15 |