| NPI | 1144626102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 85563) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 32479) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2021-07-21 |