| NPI | 1952052847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW90471) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW90471) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW90471) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-10-09 |