| NPI | 1841958931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 103683) |
| 104100000X Social Worker (Licence: CA 103683) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-09-03 |