| NPI | 1811471352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102050) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW85362) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-07-22 |