| NPI | 1144796525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 99159) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-12-29 |