| NPI | 1073203220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 111313) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-06-29 |