| NPI | 1104343144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW92080) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW73527) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-10-04 |