| NPI | 1942550314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 111788) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-10-11 |