| NPI | 1760082770 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 88931)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88931)  | 
| Enumeration Date | 2020-10-28 | 
| Last Update Date | 2024-10-15 |