| NPI | 1770602336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCS24113) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW14497) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2025-03-18 |