| NPI | 1093921959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104260) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 3529) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2021-11-19 |