| NPI | 1114278371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW85249) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 61861) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2023-03-23 |