| NPI | 1134400591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101317) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI H00467472) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-06-07 |