| NPI | 1801372867 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124561)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker | |
| Enumeration Date | 2018-07-12 | 
| Last Update Date | 2025-05-05 |