| NPI | 1770244303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 133904) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 113645) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-09-29 |