| NPI | 1003570243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 101395) |
| 101YM0800X Counselor, Mental Health (Licence: CA 101395) | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2022-07-14 |