| NPI | 1134761430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111924) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92142) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-11-08 |