| NPI | 1134576739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87619) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72712) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-04-09 |