| NPI | 1013219625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW63761) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW29483) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2022-04-04 |