| NPI | 1972934859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW61665) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW 61665) | |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2024-01-18 |