| NPI | 1790294320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 36062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99772) |
| 104100000X Social Worker (Licence: CA 99772) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-10-07 |