| NPI | 1942558028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ACSW93395) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 36925) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2024-03-15 |