| NPI | 1790137032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136531) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 109238) |
| 104100000X Social Worker (Licence: CA 109238) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2026-02-20 |