| NPI | 1083051783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99907) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM X-08199) |
| 1041C0700X Social Worker, Clinical (Licence: NM C-10228) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-10-22 |