| NPI | 1841474897 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW17100) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106382) | 
| 1041C0700X Social Worker, Clinical (Licence: CA 106382) | |
| Enumeration Date | 2007-12-27 | 
| Last Update Date | 2024-01-24 |