| NPI | 1780323857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114674) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA 114674) | |
| 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000000465) | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2023-07-31 |