| NPI | 1750085999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW129218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW87735) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW87735) | |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2025-03-19 |