| NPI | 1871911792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 101112) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW77472) |
| 104100000X Social Worker (Licence: CA ASW77472) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2022-01-06 |