| NPI | 1003348962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102945) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 86699) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-08-05 |