| NPI | 1871001024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101067) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW76891) |
| 101YP2500X Counselor, Professional (Licence: CA ASW76891) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-02-03 |