| NPI | 1003263401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW97941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW66482) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-12-02 |