| NPI | 1053625400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 76345) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW28747) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-05-24 |