| NPI | 1154715217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95532) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78271) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2021-09-08 |