| NPI | 1023594686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 122252) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 122252) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-06-10 |