| NPI | 1114381092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW75214) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 34041) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2021-07-15 |