| NPI | 1073970802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92266) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 61906) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2019-10-08 |