| NPI | 1083265623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 102442) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 102442) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-05-24 |