| NPI | 1134665615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88542) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW69027) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2022-02-14 |