| NPI | 1023521838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96829) |
| 1041C0700X Social Worker, Clinical (Licence: CA 96829) | |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-10-03 |