| NPI | 1912688151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW108645) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW108645) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW108645) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW108645) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-01 |