| NPI | 1952972358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 124266) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker (Licence: CA 98059) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-07-31 |